Bicycle Registration - Police

Police & Public Safety

Owner Information

Name(Required)

First Last

Residence Hall(Required)

Room Number(Required)

UMW Phone

Home Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Phone

Cell Phone(Required)

Bicycle Information

Brand Name(Required)

Model(Required)

Color(Required)

Wheel Size(Required)

Speed(Required)

Frame Size(Required)

Serial Number(Required)

Value(Required)